5 Injury Trochanteric Bursitis MOI:Common at the greater trochanter, high in women w/ increased Q angle, or leg length discrepancyInflammation of bursa, or insertion of gluteus medius, or IT bandS/S:c/o pain on lateral hipRadiating pain down to the kneeTenderness over greater trochanterTX:PRICE, NSAIDS, ROM, PREs, no inclined runningSpecial Tests: Obers,

6 Ober’s Test Athlete lays on unaffected side Knee flexed at 90 degreesLift top leg into abduction, slight hip extensionAllow the affected leg to drop into adductionIf leg does NOT drop = + tight IT band

7 Bones Sacrum, Coccyx Pelvis Ilium, Ischium, PubisInnominate bones: ossify and fuse early in lifePelvisSupport the spine and trunkTransfer their weight to the lower limbsPlacement for bony attachmentIlium, Ischium, PubisMake up pelvis

13 Articulations Sacroiliac Joint Joint Capsule Hip JointSupported by ligamentsConnects sacrum to iliumJoint CapsuleThe acetabulum is cushioned by the labrumHip JointMade of femur head and acetabulumPadded at the center by a mass of fatty tissue, ligaments and capsule

15 Ligaments Ischiofemoral Ligamentum TeresPrevents internal rotation and adductionOn posterior aspectLigamentum TeresLigament to the head of the femurA bridge to allow blood vessels and nerves to enter the head of the femur

22 Injuries Groin Strain (adductor/Hip flexor strain) Special Tests: MMTsMOIThe groin is the area between the thigh and the abdominalsTorn during twist or pull while running or jumpingS/SFelt as sudden twinge or feeling of tearing during an AROM, or may feel it the next dayPain, weakness, internal bleedingTXPRICE, analgesics, ROM and strengthening exercisesRest has been the best treatment, protective spicaSpecial Tests: MMTs

30 Trendelenburg’s testProcedure: Athlete stands, foot on the unaffected side is liftedLook at the iliac crest to see if it stays levelPositive test: if unaffected side is lowersORIf standing on leg and affected hip moves into abduction= Weak abductors